植入式静脉输液港规范化管理记录表的应用效果评价

Application of the standardization management form of the totally implanted vascular access devices

目的 为加强静脉输液港的规范化管理,以预防和减少留置并发症的发生.方法 采用统一制定的静脉输液港维护记录表,详细纳入静脉输液港的植入及维护信息,并向患者发放维护与宣教手册.统计分析应用静脉输液港维护记录表前后静脉输液港并发症的发生率.结果 感染和导管阻塞的发生率分别由规范化管理记录表应用前的2.1％（20/942）和8.3％（78/942）下降至应用后的1.0％（13/1 258）和2.8％（35/1 258）,差异有统计学意义.结论 静脉输液港规范化管理记录表的应用能有效减少并发症的发生,延长静脉输液港使用寿命.

Objective To strengthen the standardized management of totally implanted vascular access devices （TIVAD） in order to prevent and reduce the complications.Methods The unified TIVAD maintenance record form was adopted.The form contained the embedded and maintenance information.The maintenance and propaganda handbooks were handed out to the patients.The incidence of complications between before and after the application of the maintenance record form was analyzed statistically.Results The incidence of infection and obstruction fell from 2.1%（20/942） and 8.3%（78/942） to 1.0%（13/1 258） and 2.8%（35/1 258）,the difference was statistically significant.Conclusions The application of TIVAD maintenance record form can reduce the occurrence of complications and prolong the service life of TIVAD.